Palekana Nelarabine: Ua ʻike anei ʻoe i kēia lāʻau lapaʻau kanesa?

Ua haʻi ʻia aku anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pili ana i kahi lāʻau i kapa ʻia ʻo 'Nelarabine'? A i ʻole ua makaʻu iki ʻoe i kou lohe ʻana i kēia inoa? Hiki nō kēlā, no ka mea, he lāʻau kūikawā kēia i hāʻawi ʻia no ka maʻi kanesa. Akā, mai makaʻu. ʻO ka mea nui loa, ʻo ia ka makaʻala. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau pale ʻo 'Nelarabine', kāna hana, a me nā mea e pono ai kākou e makaʻala, ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha kēia lāʻau lapaʻau? He aha ka `(Nelarabine)`?

I ka ʻōlelo maʻalahi, ʻo `Nelarabine` kahi lāʻau lapaʻau e hakakā ana i nā hunaola kanesa a kōkua i ke kāohi ʻana i ko lākou ulu ʻana. He lāʻau lapaʻau ia no ka hui `chemotherapy` a hāʻawi ʻia ma ke ʻano he inikini. ʻO ke kikoʻī, hoʻohana nui ʻia ia no ʻelua ʻano kanesa e hoʻomaka ana i loko o kahi ʻano hunaola i loko o ko mākou kino i kapa ʻia ʻo `T-cells`. ʻO lākou:

• ʻO ka maʻi leukemia lymphoblastic T-cell
• ʻO ka lymphoma lymphoblastic o nā pūnaewele T

Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hunaola kanesa mai ka māhele ʻana, ka ulu ʻana, a me ka laha ʻana ma ke kino holoʻokoʻa. ʻO ia hoʻi, ke kāohi nei ia i ka holomua o ke kanesa i kekahi ʻano. Eia nō naʻe, he lāʻau lapaʻau kēia e pono e hoʻohana wale ʻia ma lalo o ke aʻo a ke kauka, a e like me ke kuhikuhi ʻana. I kekahi manawa, hāʻawi paha kāu kauka iā ʻoe i kēia lāʻau lapaʻau no nā kumu ʻē aʻe ma muli o kou kūlana. No laila, inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha.

Hiki iā ʻoe ke ʻike i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Arranon'.

He aha nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau?

Ma mua o kou hoʻomaka ʻana e lawe iā Nelarabine, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. E kōkua kēia i kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a me nā hana palekana āu e pono ai e lawe.

Eia nā mea nui:

• Inā ua loaʻa mua iā ʻoe ka chemotherapy a i ʻole ka radiation therapy i kou lolo a i ʻole kou iwi kuamoʻo.
• Inā he mau pilikia a maʻi paha kou i nā puʻupaʻa, no ka laʻana, inā ua nāwaliwali kou mau puʻupaʻa no ka manawa lōʻihi, a laila pono ʻoe e haʻi iā lākou.
• Inā he mau pilikia kou me ka ʻōnaehana nerve. ʻO ia hoʻi, inā ua loaʻa iā ʻoe nā hopu ma mua, ka mae ʻana o nā lālā, a i ʻole ka nalowale o ka ʻike.
• Inā ua loaʻa iā ʻoe kekahi lāʻau pale i kēia manawa koke nei, a i ʻole ke hoʻolālā nei e loaʻa i hoʻokahi i ka wā e hiki mai ana.
• Inā he maʻi ʻaleka kou iā Nelarabine, nā lāʻau chemotherapy ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻoluʻu, nā mea mālama, a i ʻole nā ​​mea ʻē aʻe. Inā he ʻulaʻula liʻiliʻi a he hopena maʻi nui paha, e haʻi mai iā mākou.
• Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, he mea nui loa kēia.
• Inā he makuahine hānai waiū ʻoe.

He mea nui loa ia no kou palekana ponoʻī e haʻi aku i ke kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou, ua maopopo iā ʻoe?

Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

ʻAʻole ʻo 'Nelarabine' he pila āu e ale ai. Hāʻawi ʻia ia ma ke ʻano he infusion i loko o ke aʻa. Ua like ia me ka hāʻawi ʻana i ka saline. ʻAʻole kēia he mea hiki iā ʻoe ke hana ma ka home. Hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a kahu maʻi paha i loaʻa i ke aʻo kūikawā ma kēia.

Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki liʻiliʻi?

ʻAe, i kekahi manawa hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki e like me hoʻokahi makahiki, no kekahi mau ʻano maʻi kanesa. Akā hana ʻia ia ma lalo o ka nānā pono ʻana o nā loea, a me ke akahele nui. No laila, inā ʻoe e kamaʻilio nei me kāu keiki e pili ana i kēia lāʻau lapaʻau, e kamaʻilio pono me ke kauka pediatric e pili ana i ia mea a wehewehe i nā mea āpau.

He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?

ʻAʻole paha e hiki kēia, no ka mea, ua hāʻawi ʻia e nā limahana o ka haukapila. Eia nō naʻe, inā manaʻo ʻoe ua hiki kēia iā ʻoe, ʻo ia hoʻi, ua manaʻo ʻoe ua overdose ʻoe, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.

Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi no kekahi kumu.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

He mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa kūpono i ka wā o kēia mālama ʻana. Inā ʻaʻole hiki iā ʻoe ke hele i ka haukapila a i ʻole ke keʻena lapaʻau i ka lā a i ʻole ka manawa i hoʻonohonoho ʻia, e kāhea koke aku i kāu kauka a i ʻole ke kauka olakino a e haʻi iā lākou. E haʻi aku lākou iā ʻoe i ka mea e hana ai ma hope.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?

Hiki iā Nelarabine ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, ʻo ia hoʻi hiki iā ia ke hoʻopilikia iā lākou. Inā hana kēia, hiki ke loli nā hopena o ka lāʻau lapaʻau a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.

• E like me ka mea i ʻike ʻia, hiki i ka lāʻau lapaʻau ʻo `Nelarabine` ke launa pū me ka lāʻau lapaʻau ʻo ` Pentostatin` .

ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina āpau. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau kuʻuna, nā huaora, nā huahana lāʻau). He mea nui hoʻi e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.

Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau

Ke lawe ʻoe i kēia lāʻau lapaʻau `chemotherapy`, hiki paha iā ʻoe ke manaʻo iki i ka ʻoluʻolu ʻole a me ke olakino ʻole. He mea maʻamau kēia. No ka mea, hiki i ka lāʻau lapaʻau `chemotherapy` ke hoʻopilikia ʻaʻole wale i nā hunaola kanesa, akā, i nā hunaola olakino hoʻi i loko o ko kākou kino. No laila, inā loaʻa iā ʻoe kekahi hopena ʻaoʻao, e haʻi i kāu kauka. E hoʻomau i ka lāʻau lapaʻau ʻoiai inā he mea ʻoluʻolu ʻole ia nou a hiki i ka wā e haʻi aku ai ke kauka iā ʻoe e hoʻōki i ka lāʻau lapaʻau.

• Nā hoʻāʻo koko:ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e hana i nā hoʻāʻo koko pinepine e nānā i kou pae koko.
• E makaʻala i nā maʻi: Inā loaʻa iā ʻoe nā hōʻailona o ke anu e like me ke kuni, ka ihu wai, ka ʻeha ʻāʻī, a me ke kuni, mai hoʻōla ponoʻī. E kelepona koke i kāu kauka. Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i ka hiki o kou kino ke pale aku i nā maʻi. No laila, e hoʻāʻo e noho mamao aku mai ka poʻe maʻi i ka hiki.
• Hiamoe/Pīniu: Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a puni paha iā ʻoe. No laila, a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i nā hana ʻē aʻe e pono ai ka makaʻala. ʻOiai inā he ʻelemakule ʻoe, mai ala koke mai kahi noho a kū paha. Hiki i kēia ke hana i ka puniu a hāʻule.
• Ka hāpai ʻana a me ka hānai ʻana i ka waiū:
• Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā ʻoe e hoʻāʻo nei e hāpai, a inā manaʻo ʻoe e hāpai paha ʻoe, e haʻi koke i kāu kauka.
• Pono hoʻi nā kāne e makaʻala i kēia. Mai hānau keiki i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i ka pēpē i hānau ʻole ʻia. E nīnau i kāu kauka a kauka lāʻau paha no ka ʻike hou aku e pili ana i kēia.
• Mai hānai i kāu pēpē i ka waiū umauma i ka wā e lawe ana i kēia lāʻau.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki iā Nelarabine ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi a pono e hōʻike koke ʻia i kāu kauka . ʻAʻole koʻikoʻi kekahi, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka inā hoʻopilikia lākou iā ʻoe.

Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:

• Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, nā lehelehe, a me ke alelo.
• Hoʻemi ʻia ka helu koko: Hiki i kēia lāʻau lapaʻau ke hoʻemi i ka helu o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a me nā platelets i loko o kou kino.
• Nā hōʻailona o ka maʻi (ma muli o ka haʻahaʻa o nā hunaola koko keʻokeʻo): kuni a i ʻole ke anu, ka ʻū, ka ʻāʻī ʻeha, ka ʻeha a i ʻole ka paʻakikī i ka mimi ʻana.
• Nā hōʻailona o ke kahe ʻana o ke koko (ma muli o ka haʻahaʻa o nā platelets): ka palapū ma ke kino holoʻokoʻa, nā kiko ʻulaʻula liʻiliʻi ma ka ʻili, ʻeleʻele, nā ʻōpala kala, ke kahe ʻana o ka ihu.
• Nā hōʻailona o nā hunaola koko ʻulaʻula haʻahaʻa (anemia): luhi nui, nāwaliwali, nāwaliwali, manaʻo poniuniu.
• ʻEha a nāwaliwali paha nā ʻiʻo.
• ʻEha, mae, a me ka nalowale o ka ʻike ma nā lālā.
• Ka nalowale o ke kaulike i ka wā e hele ana a i ʻole e piʻi ana i nā alapiʻi. Eia kekahi laʻana, inā paʻakikī iā ʻoe ke pihi i kahi pālule a i ʻole e hihia kāu mau leka i kou kākau ʻana, loaʻa paha iā ʻoe nā pilikia neʻe maikaʻi.
• Nā ʻōʻili.
• Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae.
• Luhi loa, ʻānai loa.

Nā hōʻailona e pono ʻole ai ke kōkua lapaʻau (akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha):

• Ka paʻa ʻana o ka ʻōpū
• Ka maʻi pākī
• ʻEha poʻo
• Ka nalowale o ka makemake
• Ka luaʻi, ka luaʻi

ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe, e ʻoluʻolu e nīnau i kāu kauka.

Pehea e mālama ai i ka lāʻau lapaʻau?

ʻAʻole pono ʻoe e hopohopo nui e pili ana i kēia. No ka mea, ʻaʻole ʻoe e ʻae ʻia e lawe iā Nelarabine i ka home. He lāʻau lapaʻau kēia i hāʻawi ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā ʻana a ke kauka a kahu maʻi paha. No laila, na nā limahana o ka haukapila ke kuleana no ka mālama ʻana i ka lāʻau.

ʻO ka mea nui loa - e hoʻomanaʻo! (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana iā Nelarabine i kēia lā. ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He ʻano lāʻau chemotherapy ʻo Nelarabine e kaohi ana i ka ulu ʻana o nā hunaola kanesa.
• He ʻoiaʻiʻo loa kēia no nā maʻi leukemia a me nā lymphoma e pili ana i nā cell T.
• Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kāu ʻike olakino āpau, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā maʻi allergies.
• Hāʻawi ʻia ka lāʻau lapaʻau ma o ka intravenous, ma ka haukapila.
• E makaʻala i nā hopena ʻaoʻao, a inā ʻike ʻoe i kahi mea ʻē, e haʻi koke aku i kāu kauka .
• ʻAʻole kūpono kēia lāʻau lapaʻau no ka hoʻohana ʻana inā hāpai ʻoe, e hoʻolālā ana e hāpai, a i ʻole he makuahine hānai waiū. E kamaʻilio me kāu kauka e pili ana i kēia.
• Nou wale nō kēia lāʻau lapaʻau, mai hāʻawi aku i kekahi.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka. Makemake wau iā ʻoe e ho'ōla koke!

ʻO Nelarabine, Nelarabine, Lāʻau Lapaʻau Kanesa, Chemotherapy, Leukemia, Lymphoma, Nā Hopena ʻAoʻao Kanesa